Bill Text: CA AB470 | 2017-2018 | Regular Session | Amended

NOTE: There are more recent revisions of this legislation. Read Latest Draft

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Bill Title: Medi-Cal: specialty mental health services: performance outcome reports.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Passed) 2017-10-07 - Chaptered by Secretary of State - Chapter 550, Statutes of 2017. [AB470 Detail]

Download: California-2017-AB470-Amended.html

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Amended  IN  Senate  September 01, 2017

Amended  IN  Senate  June 15, 2017

Amended  IN  Assembly  March 28, 2017

Amended  IN  Assembly  March 23, 2017

CALIFORNIA LEGISLATURE— 2017–2018 REGULAR SESSION

Assembly Bill

No. 470

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Introduced by Assembly Member Arambula

February 13, 2017

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An act to add Section 14719 14707.7 to the Welfare and Institutions Code, relating to Medi-Cal.

LEGISLATIVE COUNSEL'S DIGEST

AB 470, as amended, Arambula. Medi-Cal: specialty mental health services: performance outcome dashboard. reports.

Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services, under which basic health care services are provided to qualified low-income persons. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law provides that speciality mental health services are covered under the Medi-Cal program for eligible Medi-Cal beneficiaries, including both adults and children, and coverage for those services is provided through mental health managed care plans. Existing law requires the department to develop a performance outcome system for Early and Periodic Screening, Diagnosis, and Treatment mental health services provided to eligible Medi-Cal beneficiaries under 21 years of age.

This bill would require the department, in collaboration with the California Health and Human Services Agency, to create a performance outcome dashboard, as specified, commencing no later than January 15, 2018, and as needed thereafter, in consultation with specified stakeholders, to inform the updates to, and build upon, the performance outcomes system reports developed for Early and Periodic Screening, Diagnosis, and Treatment mental health services provided to eligible Medi-Cal beneficiaries under 21 years of age and under the Special Terms and Conditions of the Medi-Cal Specialty Mental Health Services Waiver in order to provide data to inform strategies to reduce mental health disparities for specialty mental health services provided to all eligible Medi-Cal beneficiaries. The bill would require the department, commencing no later than January 15, 2018, and quarterly thereafter, to convene a stakeholder advisory committee comprised of specified representatives, including representatives of providers, consumers, and counties, to inform the creation of the performance outcome dashboard for specialty mental health services. The bill would require the department to consider specified objectives, including high-quality, trauma-informed, culturally and linguistically competent, and accessible specialty mental health services for all eligible beneficiaries, in developing the performance outcome dashboard, building upon the performance outcomes reports for specialty mental health services, and would require the dashboard to include both statewide and plan-specific data, disaggregated performance outcomes report for specialty mental health services to be produced using existing data collected by the state, stratified at statewide and county levels and by specified categories, data elements in certain areas, including, among others, mental health disparities and quality indicators. access and quality.

This bill would require the department to provide the dashboard to all fiscal committees and appropriate policy committees of the Legislature no later than December 31, 2018. publish, by December 31, 2018, the performance outcomes reports based on available data for specialty mental health services on the department’s Internet Web site, and to provide the performance outcomes reports to the Legislature by December 31, 2018. The bill would require the department, commencing January 1, 2019, and on an as-needed basis thereafter, to consult with the stakeholder advisory committee specified stakeholders to incorporate additional components into the dashboard performance outcomes reports and to make recommendations for statewide quality improvement and efforts to reduce mental health disparities, as specified. The bill, commencing January 1, 2019, and annually thereafter, would require the department to provide quarterly updates to the dashboard update the performance outcomes reports for specialty mental health services and to post the updated report reports on the department’s Internet Web site. The bill would authorize the department to implement, interpret, or make specific the requirements of the bill by all-county letters, plan letters, plan or provider bulletins, or similar instructions.

Digest Key

Vote: MAJORITY   Appropriation: NO   Fiscal Committee: YES   Local Program: NO  

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Bill Text

The people of the State of California do enact as follows:

SECTION 1.

 Section 14719 14707.7 is added to the Welfare and Institutions Code, to read:

14719.14707.7.

 (a) It is the intent of the Legislature to develop a performance outcome dashboard for specialty mental health services that will reduce mental health disparities, improve outcomes at the individual and system levels, and inform fiscal decisionmaking related to the purchase of services. build upon performance outcomes system reports the department has developed pursuant to Section 14707.5 and the Special Terms and Conditions of the Medi-Cal Specialty Mental Health Services Waiver, as approved pursuant to Section 1915(b) of the federal Social Security Act (42 U.S.C. Sec. 1396n(b)), in order to provide data to inform strategies to reduce mental health disparities.

(b)Consistent with the Special Terms and Conditions of the Medi-Cal Specialty Mental Health Services Waiver, as approved pursuant to Section 1915(b) of the Social Security Act (42 U.S.C. Sec. 1396n(b)), the State Department of Health Care Services, in collaboration with the California Health and Human Services Agency, shall create a performance outcome dashboard for specialty mental health services provided to eligible Medi-Cal beneficiaries.

(1)

(b) (1) Commencing no later than January 15, 2018, and quarterly as needed thereafter, the department shall convene a stakeholder advisory committee comprised of representatives of consult with stakeholders, including, but not limited to, subject-matter experts who represent providers, consumer advocates, consumers, family members, counties, and the Legislature. This consultation shall inform the creation of the performance outcome dashboard for specialty mental health services. Legislature, to inform the updates to the performance outcomes reports for specialty mental health that the department developed pursuant to Section 14707.5 and the Special Terms and Conditions of the Medi-Cal Specialty Mental Health Services Waiver. The stakeholder consultation shall continuously inform the development of performance outcome and disparities reduction measures.

(2) In developing the performance outcome dashboard building upon the performance outcomes reports for specialty mental health services, the department shall also consider both of the following objectives, among others:

(A) High-quality, trauma-informed, culturally and linguistically competent, and accessible specialty mental health services for all eligible beneficiaries, consistent with federal law.

(B)Information that improves practice at the individual, program, and system levels.

(C)Minimization of costs by building upon existing resources to the fullest extent possible.

(D)Reliable data that are collected and analyzed in a timely fashion.

(E)Elimination or reduction of mental health disparities and strategies for addressing the social determinants of mental health.

(B) Strategies to reduce mental health disparities.

(3) The performance outcome dashboard outcomes reports for specialty mental health services shall also consider evidence-based models for performance outcome systems, federal requirements, including the Special Terms and Conditions of the Medi-Cal Specialty Mental Health Services Waiver, as approved pursuant to Section 1915(b) of the federal Social Security Act (42 U.S.C. Sec. 1396n(b)), the review by the External Quality Review Organization (EQRO), (42 U.S.C. Sec. 1396n(b)) and the Medicaid Managed Care Quality Rating System, and timelines for implementation at the provider, county, and state levels. System.

(4) At In order to identify mental health disparities, at a minimum, the performance outcome dashboard outcomes reports for specialty mental health services shall include be produced using existing data collected by the state, stratified by both the statewide and plan-specific data county levels in the following areas:

(A)Mental health disparities.

(B)Measurement of

(A) Access, such as timely access to services, including waiting time to assessment and waiting time to first appointment.

(C)

(B) Language capacity and language access.

(D)Quality indicators, including beneficiary experience and clinical outcomes.

(E)Utilization and penetration rates, including, at a minimum, reporting the subcomponents of services utilized by assessments, contacts, and therapy or other services provided.

(C) Quality.

(D) Utilization and penetration.

(5) (A) Data required pursuant to paragraph (4) shall be disaggregated stratified by age, sex, gender identity, race, ethnicity, primary language, sexual orientation, ZIP Code, and any other factors data elements for which there is peer-reviewed evidence of to assess performance outcomes related to mental health disparities.

(B) The department shall not report any demographic data under paragraph (4) or this paragraph that would permit identification of individuals.

(6) (A) The department shall provide the performance outcome dashboard publish the performance outcomes reports based on available data for specialty mental health services described in this section to all fiscal committees and appropriate policy committees of the Legislature no later than on the department’s Internet Web site by December 31, 2018. The department shall also provide the performance outcomes reports to the Legislature by December 31, 2018.

(B) Commencing January 1, 2019, and annually thereafter, the department shall provide quarterly updates to update the performance outcome dashboard outcomes reports for specialty mental health and shall post the updated report reports on the department’s Internet Web site.

(7) Commencing January 1, 2019, the department shall consult with the stakeholder advisory committee consult, as needed, with the stakeholders specified in paragraph (1) to do both of the following:

(A) Incorporate additional components into the performance outcome dashboard, outcomes reports, including, but not limited to, components concerning the reduction of mental health disparities, such as timely access to services, language access, and quality and utilization measures, relating to mental health services obtained through Medi-Cal managed care plans.

(B) Make recommendations for statewide quality improvement and efforts to reduce mental health disparities based on information reported in the performance outcome dashboard. outcomes reports.

(8) Upon completion of the activities specified in paragraph (7), the department shall consult with stakeholders on an as-needed basis.

(8)

(9) Notwithstanding Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, the department may implement, interpret, or make specific this subdivision by means of all-county letters, plan letters, plan or provider bulletins, or similar instructions, without taking regulatory action.